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Individual

DR. STEVEN BRADLEY MAHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS DDS

Contact information

Practice address
605 E CLAIREMONT AVE, EAU CLAIRE, WI 54701
(715) 834-2174
(715) 834-3628
Mailing address
605 E CLAIREMONT AVE, EAU CLAIRE, WI 54701
(715) 834-2174
(715) 834-3628

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3578015
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33484500
WI
01
391764798019
BLUE CROSS BLUE SHIELD
01
859469
UNITED CONCORDIA
Enumeration date
08/21/2006
Last updated
07/08/2007
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